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2401 N Shepherd Dr Ste 160 Houston TX 77008-2993 | |
| (832) 617-5531 | |
| (281) 888-6139 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2401 N Shepherd Dr Ste 160, Houston, Texas |
| Authorized Official Name and Position | Sahara A Lesage (OWNER) |
| Authorized Official Contact | 7134908880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2536 Amherst St Ste A Houston TX 77005-3207 Ph: (713) 490-8880 | 2401 N Shepherd Dr Ste 160 Houston TX 77008-2993 Ph: (832) 617-5531 |
| NPI Number | 1194349084 |
|---|---|
| Provider Enumeration Date | 06/05/2020 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194349084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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